FORM 1023-EZ for THE LAN VO FOUNDATION

Field Data
EIN 46-4610108
Case Number EO-2015181-000009
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE LAN VO FOUNDATION
Organization’s Mailing Address 2629 PALI HWY
City HONOLULU
State HI
ZIP 96817
Accounting period End 12
Primary contact name CHRIS MASHIBA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIM LAN NGUYEN VO
CHAIRMAN/PRESIDENT
2629 PALI HIGHWAY
HONOLULU HI 96817

Officer/Director/Trustee Two

KAREN TAMABAYASHI-HIGUCHI
SEC/TREAS
PO BOX 446
KANEOHE HI 96744

Officer/Director/Trustee Three

DICK YAMAGAMI
EXECUTIVE DIRECTOR
1239 9TH AVE
SAN FRANCISCO CA 94122

Officer/Director/Trustee Four

NORIKO SASAKAWA
DIRECTOR
700 RICHARDS STREET SUITE 2410
HONOLULU HI 96813

Officer/Director/Trustee Five

LAUREN TRIPOLI
DIRECTOR
520 LUNALILO HOME ROAD - APT 7209
HONOLULU HI 96825

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/19/2013
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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